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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600459
Report Date: 05/12/2026
Date Signed: 05/12/2026 05:41:28 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/04/2026 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 11-AS-20260504162832
FACILITY NAME:HERITAGE BOARD & CARE #1FACILITY NUMBER:
198600459
ADMINISTRATOR:MARILEE CRUZFACILITY TYPE:
735
ADDRESS:2330 & 2340 EAST 15TH STREETTELEPHONE:
(562) 900-5577
CITY:LONG BEACHSTATE: CAZIP CODE:
90804
CAPACITY:42CENSUS: 35DATE:
05/12/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Administrator Mary Cruz TIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Staff neglect resident’s needs.
Staff does not keep facility free from pests.
Staff yell at resident.
Staff administered unprescribed medications to resident.
Staff did not provide adequate food service to resident.
Staff hit residents with an object.
INVESTIGATION FINDINGS:
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On 5/20/2026 at 2:30 PM, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit to conduct a complaint investigation and deliver the findings for the alleged allegations above. LPA identified herself and met with Administrator Mary Cruz who was informed of the purpose of the visit..

The investigation consisted of the following:

On 05/12/2026, the Department conducted interviews with staff members 1–4 (S1–S4) and clients 1–5 (C1–C5). The Department reviewed the quality assurance reports from Dewey Pest Control for March and April 2026, which documented preventative measures for mice and other pests.The Department conducted an interior and exterior tour of the facility. No debris or obstructions were observed. Rooms 1, 5, B, and D were inspected, and the department did not observe any obvious signs of mice or other pests in any of the rooms or facility. The Department also reviewed the medication administration records (MARs) for clients C1–C3. Based on the review, medications appear to be administered as prescribed by each client's physician.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 11-AS-20260504162832
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: HERITAGE BOARD & CARE #1
FACILITY NUMBER: 198600459
VISIT DATE: 05/12/2026
NARRATIVE
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 The investigation revealed the following:

Allegation #1- Staff neglect resident’s needs.

The department conducted interviews with staff members (S1-S4) and 4 out of 4 staff members stated that clients’ needs are not neglected. Clients are assisted with what their needs daily or as needed.

The department conducted interviews with (C1-C5) and 1 out of 5 clients stated that they have been neglected by the staff however, when asked for additional details or the specific names and dates the client was unable to provide further information. The remaining 4 clients stated that they have not been neglected by the staff and that their needs are met daily or as needed.

Allegation #2: Staff does not keep facility free from pests.

The department conducted interviews with staff members (S1-S4) and 4 out of 4 staff members stated that management does ensure that the facility is free of pest/mice and that pest control comes to the facility monthly.

The Department conducted interviews with clients C1–C5. One (1) out of the five (5) clients reported having seen a mouse in their room in the past; however, when asked for additional details or the specific room location, the client was unable to provide further information. The remaining four (4) clients stated they have not seen or heard mice in their rooms or anywhere in the building. When asked whether they have observed pest control personnel at the facility, the remaining 4 clients confirmed that they had seen someone come out to spray for pests/mice.


Allegation 3: Staff yell at resident.

The department conducted interviews with staff members (S1-S4) and 4 out of 4 staff members stated that staff have not yelled at residents in the past or present.

The department conducted interviews with (C1-C5) and 1 out of 5 clients stated that they have been yelled at by the staff when asked who their name(s) R1 could not be provided details of events of occurrences. The remaining 4 clients stated that staff members have not yelled at them past or present.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20260504162832
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: HERITAGE BOARD & CARE #1
FACILITY NUMBER: 198600459
VISIT DATE: 05/12/2026
NARRATIVE
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Allegation #4: Staff administered unprescribed medications to resident.

The department conducted interviews with staff members (S1-S4) and 4 out of 4 staff members stated that staff have not administered medications to clients in the past or present that are not prescribed by their physicians.

The department conducted interviews with (C1-C5) and 1 out of 5 clients that staff has administered d medications to them that was not prescribed by their physicians, however, R1 could not provide details of occurrence or medication(s) given that was not prescribed by their physician. The remaining 4 clients stated that staff have never mismanaged their medication or given them someone else medication to their knowledge.

Allegation #5: Staff did not provide adequate food service to resident.

The department conducted interviews with staff members (S1-S4) and 4 out of 4 staff members stated that clients are provided with adequate food service daily, 3 meals plus snacks.

The department conducted interviews with (C1-C5) and 1 out of 5 clients that staff doesn’t provide them with adequate food service. R1 could not provide details of occurrences. The remaining 4 clients stated that adequate food is provided 4 out of 4 clients also stated they receive 3 meals daily plus snacks. When asked if additional servings are provided 4 clients said yes. The department also observed the menu for the quarter and it coincides with dinner being provided.

Allegation #6: Staff hit residents with an object.

The department conducted interviews with staff members (S1-S4) and 4 out of 4 staff members stated that clients were not hit by the staff for any reason.

The department conducted interviews with (C1-C5) and 1 out of 5 clients that staff has hit them in the past, but details of the occurrence could not be provided. When asked if anyone had seen this happen, they said no. The remaining 4 clients stated that staff members have not hit them with any object in the past or present.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20260504162832
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: HERITAGE BOARD & CARE #1
FACILITY NUMBER: 198600459
VISIT DATE: 05/12/2026
NARRATIVE
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The Department also reviewed the quality assurance reports from Dewey Pest Control for March and April 2026, which documented preventative measures for mice and other pests. The Department conducted an interior and exterior tour of the facility. No debris or obstructions were observed. Rooms 1, 5, B, and D were inspected, and the LPA did not observe any obvious signs of mice or other pests in any of the rooms. The Department also reviewed the medication administration records (MARs) for clients C1–C3. Based on the review, medications appear to be administered as prescribed by each client's physician.


Based on interviews, documents reviewed and observation during the investigation, the above allegations are found to be Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted where this report was discussed and provided to Administrator Mary Cruz at conclusion of the visit with appeal rights.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4